Scenario Edgar Rice Burroughs., a 69-year-old man with type 1 diabetes mellitus (DM), is admitted to a large regional medical center complaining of…

Question Answered step-by-step Scenario Edgar Rice Burroughs., a 69-year-old man with type 1 diabetes mellitus (DM), is admitted to a large regional medical center complaining of severe pain in his right foot and lower leg. The right foot and lower leg are cool and without pulses (absent by Doppler). Arteriogram demonstrates severe atherosclerosis of the right popliteal artery with complete obstruction of blood flow. Despite attempts at endarterectomy and administration of intravascular alteplase (tissue plasminogen activator [TPA]) over several days, the foot and lower leg become necrotic. Finally, the decision is made to perform an above-the-knee amputation (AKA) on Mr. Burrough’s right leg. Mr. Burroughs is recently widowed and has a son and daughter who live nearby. In preparation for Mr. Burrough’s surgery, the surgeons wish to spare as much viable tissue as possible. Hence, an order is written for Mr. Burrough to undergo 5 days of hyperbaric therapy for 20 minutes bid. Mr. Burroughs returns from surgery with the right stump dressed with gauze and an elastic wrap. The dressing is dry and intact, without drainage. He is drowsy with the following vital signs (VS): 142/80, 96, 14, 97 .9° F (36.6° C}, Spo2 92%. He has a maintenance IV of D5NS infusing at 125ml/hr in his right forearm.5. The surgeon has written to keep Mr. Burrough’s stump elevated on pillows for 48 hours; after that, have him lie in a prone position for 15 minutes, four times a day. In teaching Mr. Burrough about his care, how will you explain the rationale for these orders?6. In reviewing Mr. Burrough’s medical history, what factors do you notice that might affect the condition of his stump and ultimate rehabilitation potential? Health Science Science Nursing NURSING MEDSURG250 Share QuestionEmailCopy link Comments (0)